Active NPI
Carex Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1306393202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 035022
- Legal business name
- CAREX PHARMACY INC
- Practice address
- 742 Lydig Ave
Bronx, NY 10462-2104 - Phone
- (718) 678-8700
- Fax
- (718) 678-8777
- NPI assigned
- Sep 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Usman A Rana
- Title
- President
- Phone
- (718) 678-8700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 035022 | NY | Primary |
Addresses
Primary practice location
742 Lydig Ave
Bronx, NY 10462-2104
Mailing address
742 Lydig Ave
Bronx, NY 10462-2104
Phone (718) 678-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167013 | Other | PK | |
| 4623832 | Medicaid | NY |
Other names 1
- Lydig Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170728002775 | NY | DME Supplier - Pharmacy | 5496026106 | Practice locations: Bronx, NY |
| O20241204002802 | NY | Part B Supplier - Pharmacy | 5496026106 | Practice locations: Bronx, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Carex Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bronx, NY
- NPI 1063250611
Locations
742 Lydig Ave
Bronx, NY 10462
Phone (718) 678-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1306393202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 LYDIG AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104622104",
"telephone_number": "718-678-8700",
"fax_number": "718-678-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 LYDIG AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104622104",
"telephone_number": "718-678-8700",
"fax_number": "718-678-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREX PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-08",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "RANA",
"authorized_official_first_name": "USMAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-678-8700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "035022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167013",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4623832",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lydig Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.